Diabetes & Endocrinology Care - Diagnosis & Treatment At Fortis Hospitals Mumbai
Diabetes & Endocrinology Care - Diagnosis & Treatment
In the majority of cases, diabetes shows little or no symptoms. Hence, early detection can be difficult. However, if there are any early symptoms that has been persisting for some time, then it is best to consult your general physician and get tested.
The common symptoms of diabetes are:
- Frequent thirst
- Feeling hungry in spite of eating
- Blurry vision
- Frequent urination
- Cuts and sores that take time to heal
If one is overweight or obese, then it is prudent to get tested for diabetes even if there are no visible symptoms of the condition. In addition to that, testing should be done if:
- You belong to a high-risk ethnic group
- You have high blood pressure, low HDL cholesterol, heart disease or high triglycerides
- There is a family history of diabetes
- There is a medical history of abnormal blood sugar or signs of insulin resistance
- You do not indulge in regular physical exercise
- You have a history of polycystic ovary syndrome or gestational diabetes
If you are over the age of 45, it is recommended to undergo regular testing for diabetes. Periodic monitoring of glucose levels helps to establish a baseline as the risk of diabetes increases as one grows older.
The recommended tests for prediabetes, diabetes type 1 and type 2 are:
- Glycated Haemoglobin or A1C Test
- Fasting Plasma Glucose or FPG Test
- Oral Glucose Tolerance Test or OGTT
- Random Plasma Glucose Test
- Haemoglobin A1C Test
- Zinc transporter 8 autoantibody (ZnT8Ab) Test
- Urine Testing for Diabetes
- Initial Glucose Test
- Follow-up glucose tolerance Testing
Every diabetic patient’s needs are unique. Therefore, treatments have to be planned accordingly. Your diabetes care team at Fortis, Mumbai will be able to guide you in the right therapy direction to any one of the treatment options mentioned below incase required:
Adrenalectomy is a surgical procedure which involves the removal of one or both of the adrenal glands. An adrenal mass or tumor is the most common problem associated with the adrenal glands that need an Adrenalectomy. Removal of the adrenal gland can be performed as a minimally invasive (laparoscopic) procedure or traditional open surgery depending on the condition affecting the adrenal gland and how severe it is.
Bariatric surgery is a type of surgery that helps people lose weight by making changes to the digestive system. This surgery is considered in persons who have severe and uncontrollable obesity and who you have serious health problems, such as type 2-diabetes or sleep apnea, related to obesity. After the surgery, healthy lifestyle habits can help lose more weight and keep the weight off for the long term.
Surgery to implant a healthy pancreas from a donor into a person with failed pancreas is a Pancreas transplant. Most often, this surgical procedure is performed in people with type 1 diabetes. People who require insulin therapy and have type 2-diabetes can also benefit from this procedure. Restoring normal blood glucose levels to the body is the main goal of Pancreas transplant.
The surgical procedure which involves the removal of one or more of the parathyroid glands is Parathyroidectomy. It is performed to treat hyperparathyroidism, a condition characterized by overactivity of the parathyroid glands. Parathyroid gland removal is also needed if the patient has tumors called adenomas that cause over- or under-production of parathyroid hormone, cancerous tumors on or near the glands, and parathyroid hyperplasia (enlargement of all four parathyroid glands).
A surgical procedure to remove all or part of the thyroid gland is Thyroidectomy. It is performed to treat thyroid disorders, such as cancer, goitre (a condition that is characterised by the noncancerous enlargement of the thyroid) and overactive thyroid. If only a portion of the thyroid gland is removed, it is called Partial thyroidectomy. If the entire thyroid is removed, it is called Total thyroidectomy.
Surgery for tumours of: thyroid, adrenals, pancreas, pituitary and neuroendocrine
Tumors can occur in any of the major endocrine glands like thyroid, adrenals, pancreas, pituitary and neuroendocrine. The treatment for the cure of any of these tumors involves surgery to remove it. This surgery can be performed as a minimally invasive procedure or traditional open surgery depending on the type of tumor and health status of the patient.